| NPI | 1427257286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13056) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC4168) |
| 1041C0700X Social Worker, Clinical (Licence: ME MC11198) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2019-11-25 |